Provider Demographics
NPI:1568165223
Name:LAST CHANCE MOBILE THERAPY
Entity Type:Organization
Organization Name:LAST CHANCE MOBILE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:LENDE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:406-431-6285
Mailing Address - Street 1:3301 ARABIAN RD
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-9681
Mailing Address - Country:US
Mailing Address - Phone:406-431-6285
Mailing Address - Fax:
Practice Address - Street 1:3301 ARABIAN RD
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-9681
Practice Address - Country:US
Practice Address - Phone:406-431-6285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty